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value='Singapore' >Singapore</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Sudan, South' >Sudan, South</option><option value='Suriname' >Suriname</option><option value='Swaziland' >Swaziland</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Togo' >Togo</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Vatican City' >Vatican City</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select></div></li><li id="field_1_41" class="gfield gplaceholder half first gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_41' >Postal Code<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_1_41' type='text' value='' class='large' tabindex='110' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_55" class="gfield gplaceholder half dropdown last gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_55' >Product Group<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_1_55' class='medium gfield_select' tabindex='111' aria-required="true" aria-invalid="false" ><option value='' >Select a Product</option><option value='Optics Products' >Optics Products</option><option value='X-ray Sources' >X-ray Sources</option><option value='X-ray Windows' >X-ray Windows</option><option value='X-ray Detectors' >X-ray Detectors</option></select></div></li><li id="field_1_83" class="gfield gplaceholder half dropdown first field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_83' >Referred By</label><div class='ginput_container ginput_container_select'><select name='input_83' id='input_1_83' class='medium gfield_select' tabindex='112' aria-invalid="false" ><option value='' >Referred By</option><option value='Tradeshow' >Tradeshow</option><option value='Word of Mouth' >Word of Mouth</option><option value='Magazine Ads' >Magazine Ads</option><option value='Conference' >Conference</option><option value='Web search' >Web search</option><option value='Other' >Other</option></select></div></li><li id="field_1_84" class="gfield gplaceholder half dropdown first field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_84' >Other</label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_1_84' type='text' value='' class='medium' tabindex='113' aria-invalid="false" /> </div></li><li id="field_1_117" class="gfield nofloat field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_117' >Attach Document</label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' /><input name='input_117' id='input_1_117' type='file' class='medium' aria-describedby="gfield_upload_rules_1_117" onchange='javascript:gformValidateFileSize( this, 10485760 );' tabindex='114' /><span class='gform_fileupload_rules' id='gfield_upload_rules_1_117'>Accepted file types: pdf, doc, docx, xls, xlsx, jpg, jpeg, png, gif, tiff, dwg, Max. file size: 10 MB.</span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_1_117'></div></div></li></ul>
</div>
<div class='gform_page_footer top_label'>
<input type='button' id='gform_next_button_1_43' class='gform_next_button button' value='Next' tabindex='115' onclick='jQuery("#gform_target_page_number_1").val("2"); jQuery("#gform_1").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("2"); jQuery("#gform_1").trigger("submit",[true]); } ' />
</div>
</div>
<div id='gform_page_1_2' class='gform_page' style='display:none;'>
<div class='gform_page_fields'>
<ul id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below'><li id="field_1_44" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><p>Step 2 of 3: Product Selection</p></li><li id="field_1_14" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_14' >Product Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_1_14' class='large gfield_select' tabindex='116' aria-required="true" aria-invalid="false" ><option value='' >Select Option</option><option value='FBF04C High Contrast' >FBF04C High Contrast</option><option value='PPL04 High Contrast' >PPL04 High Contrast</option><option value='PPL05 Very High Transmission' >PPL05 Very High Transmission</option><option value='PBFF2A Standard' >PBFF2A Standard</option><option value='PBS02 Polarizing Beamsplitter' >PBS02 Polarizing Beamsplitter</option><option value='PBF02 Optically Flat PBS' >PBF02 Optically Flat PBS</option><option value='BIR04 IR High Contrast' >BIR04 IR High Contrast</option><option value='BIR05 Very High Transmission' >BIR05 Very High Transmission</option><option value='RCV6LCET High Transmission with protective Overcoat™' >RCV6LCET High Transmission with protective Overcoat™</option><option value='RCV6N2EC Ultra High Transmission' >RCV6N2EC Ultra High Transmission</option><option value='RCV8LCET High Contrast with protective Overcoat™' >RCV8LCET High Contrast with protective Overcoat™</option><option value='RCV8N2EC Balanced Transmission/Contrast' >RCV8N2EC Balanced Transmission/Contrast</option><option value='UBB01 Utlra Broadband' >UBB01 Utlra Broadband</option><option value='UCMNATC0 Narrow Band, Narrow AOI' >UCMNATC0 Narrow Band, Narrow AOI</option><option value='UVD240A High Contrast' >UVD240A High Contrast</option><option value='UVD260A High Contrast' >UVD260A High Contrast</option><option value='UVT240A High Transmission' >UVT240A High Transmission</option><option value='UVT260A High Transmission' >UVT260A High Transmission</option><option value='UVT300A High Transmission' >UVT300A High Transmission</option><option value='UVX240A, UVT240A + Coating' >UVX240A, UVT240A + Coating</option><option value='Absorptive Blue Transmission' >Absorptive Blue Transmission</option><option value='Absorptive Blue Contrast' >Absorptive Blue Contrast</option><option value='Absorptive Green Transmission' >Absorptive Green Transmission</option><option value='Absorptive Green Matched' >Absorptive Green Matched</option><option value='Absorptive Green Contrast' >Absorptive Green Contrast</option><option value='Absorptive Red Matched' >Absorptive Red Matched</option><option value='PFU04 Ultra High Contrast' >PFU04 Ultra High Contrast</option><option value='SIR 3-5 Broadband' >SIR 3-5 Broadband</option><option value='SIR 8-12 Broadband' >SIR 8-12 Broadband</option><option value='Pixelation' >Pixelation</option><option value='Standard Sample' >Standard Sample</option><option value='Custom Sample' >Custom Sample</option><option value='Sample Kit' >Sample Kit</option></select></div></li><li id="field_1_22" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_22' >Specific Wavelength Range (nm)</label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_1_22' type='text' value='' class='large' tabindex='117' aria-invalid="false" /> </div></li><li id="field_1_134" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_134' >Is Tp or Contrast Ratio more important?</label><div class='ginput_container ginput_container_select'><select name='input_134' id='input_1_134' class='large gfield_select' tabindex='118' aria-invalid="false" ><option value='Select Option' >Select Option</option><option value='Tp' >Tp</option><option value='Contrast' >Contrast</option></select></div></li><li id="field_1_15" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_15' >Product Shape<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_1_15' class='large gfield_select' tabindex='119' aria-required="true" aria-invalid="false" ><option value='' selected='selected'>Select Option</option><option value='Circle' >Circle</option><option value='Rectangle' >Rectangle</option><option value='Square' >Square</option><option value='Other' >Other</option></select></div></li><li id="field_1_13" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_13' >Dimension (X) in mm<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_1_13' type='text' value='' class='large' tabindex='120' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_16" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_16' >Dimension (Y) in mm<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_1_16' type='text' value='' class='large' tabindex='121' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_18" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_18' >X Dimensional Tolerance in mm: +/- 0.</label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_1_18' type='text' value='' class='large' tabindex='122' aria-invalid="false" /> </div></li><li id="field_1_19" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_19' >Y Dimensional Tolerance in mm: +/- 0.</label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_1_19' type='text' value='' class='large' tabindex='123' aria-invalid="false" /> </div></li><li id="field_1_20" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_20' >Transmission Axis (long side, degrees)</label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_1_20' type='text' value='' class='large' tabindex='124' aria-invalid="false" /> </div></li><li id="field_1_87" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_87' >Quantity<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_number'><input name='input_87' id='input_1_87' type='text' value='' class='medium' tabindex='125' aria-required="true" aria-invalid="false" /></div></li><li id="field_1_21" class="gfield gplaceholder attachment gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_21' >Visual Criteria<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_1_21' class='large gfield_select' tabindex='126' aria-required="true" aria-invalid="false" ><option value='' selected='selected'>Select Option</option><option value='VC0' >VC0</option><option value='VC1' >VC1</option><option value='VC2' >VC2</option><option value='VC4' >VC4</option><option value='VCIR' >VCIR</option><option value='Other' >Other</option></select></div></li><li id="field_1_23" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_23' >Edge Exclusion (mm)</label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_1_23' type='text' value='' class='large' tabindex='127' aria-invalid="false" /> </div></li><li id="field_1_131" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_131' >Additional Options</label><div class='ginput_container ginput_container_select'><select name='input_131' id='input_1_131' class='medium gfield_select' tabindex='128' aria-invalid="false" ><option value='Select Option' >Select Option</option><option value='Marking' >Marking</option><option value='Chamfer' >Chamfer</option><option value='Mounted Assembly' >Mounted Assembly</option><option value='Cover Glass' >Cover Glass</option><option value='Expedite (20% Fee)' >Expedite (20% Fee)</option></select></div></li><li id="field_1_135" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_135' >Product Requirements</label><div class='ginput_container ginput_container_select'><select name='input_135' id='input_1_135' class='large gfield_select' tabindex='129' aria-invalid="false" ><option value='Select Option' >Select Option</option><option value='ITAR Compliant' >ITAR Compliant</option><option value='Certificate of Conformance' >Certificate of Conformance</option><option value='Measurement Data' >Measurement Data</option><option value='First Article Inspection Report' >First Article Inspection Report</option><option value='Other' >Other</option></select></div></li><li id="field_1_148" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_148' >Other</label><div class='ginput_container ginput_container_text'><input name='input_148' id='input_1_148' type='text' value='' class='medium' tabindex='130' aria-invalid="false" /> </div></li><li id="field_1_80" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_80' >X-ray Subject<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_1_80' class='medium gfield_select' tabindex='131' aria-required="true" aria-invalid="false" ><option value='40kv Magnum' >40kv Magnum</option><option value='50kv Magnum' >50kv Magnum</option><option value='FTC-200 Controller' >FTC-200 Controller</option><option value='XPIN-XT Detector' >XPIN-XT Detector</option><option value='XPIN-BT Detector' >XPIN-BT Detector</option><option value='Sealed Proprotional Counter' >Sealed Proprotional Counter</option><option value='MP103 Preamplifier' >MP103 Preamplifier</option><option value='AP3 Window' >AP3 Window</option><option value='AP5 Window' >AP5 Window</option><option value='ProLINE10 Windows' >ProLINE10 Windows</option><option value='ProLINE20 Windows' >ProLINE20 Windows</option><option value='Other' >Other</option></select></div></li><li id="field_1_79" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_79' >Other</label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_1_79' type='text' value='' class='medium' tabindex='132' aria-invalid="false" /> </div></li><li id="field_1_141" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_141' >X-ray Application</label><div class='ginput_container ginput_container_select'><select name='input_141' id='input_1_141' class='medium gfield_select' tabindex='133' aria-invalid="false" ><option value='Select Application' >Select Application</option><option value='XRF' >XRF</option><option value='XRD' >XRD</option><option value='Imaging' >Imaging</option><option value='Other' >Other</option></select></div></li><li id="field_1_58" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_58' >X-ray Sources</label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_1_58' class='medium gfield_select' tabindex='134' aria-invalid="false" ><option value='Select Type' >Select Type</option><option value='40kV/4W Cabled Transmission' >40kV/4W Cabled Transmission</option><option value='40kV/4W Cabled Reflection' >40kV/4W Cabled Reflection</option><option value='50kV/4W Transmission' >50kV/4W Transmission</option><option value='50kV/10W Cabled Transmission' >50kV/10W Cabled Transmission</option><option value='60kV/12W Transmission' >60kV/12W Transmission</option><option value='70kV/12W Transmission' >70kV/12W Transmission</option><option value='40kV FTC-200 Controller' >40kV FTC-200 Controller</option><option value='50kV FTC-200 Controller' >50kV FTC-200 Controller</option><option value='Other' >Other</option></select></div></li><li id="field_1_144" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><img src="https://moxtek.com/wp-content/uploads/x-ray-products/x-ray-sources/end-window-monoblock.jpg" width="500" height="600"></li><li id="field_1_142" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_142' >Specify Product<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_142' id='input_1_142' type='text' value='' class='medium' tabindex='135' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_92" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_92' >40kV/4W Cabled Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_92' id='input_1_92' class='medium gfield_select' tabindex='136' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Ag' >Ag</option><option value='Pd' >Pd</option><option value='Rh' >Rh</option><option value='W' >W</option></select></div></li><li id="field_1_145" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_145' >40kV/4W Cabled Reflection Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_145' id='input_1_145' class='medium gfield_select' tabindex='137' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Cr' >Cr</option><option value='Cu' >Cu</option><option value='Mo' >Mo</option><option value='W' >W</option></select></div></li><li id="field_1_96" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_96' >50kV/10W Cabled Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_96' id='input_1_96' class='medium gfield_select' tabindex='138' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Ag' >Ag</option><option value='Au' >Au</option><option value='Mo' >Mo</option><option value='Pd' >Pd</option><option value='Rh' >Rh</option><option value='W' >W</option></select></div></li><li id="field_1_94" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_94' >50kV/4W Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_94' id='input_1_94' class='medium gfield_select' tabindex='139' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Ag' >Ag</option><option value='Au' >Au</option><option value='Cr' >Cr</option><option value='Mo' >Mo</option><option value='Pd' >Pd</option><option value='Rh' >Rh</option><option value='W' >W</option></select></div></li><li id="field_1_90" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_90' >60kV/12W Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_90' id='input_1_90' class='medium gfield_select' tabindex='140' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Ag' >Ag</option><option value='Cr' >Cr</option><option value='Cu' >Cu</option><option value='Mo' >Mo</option><option value='Rh' >Rh</option><option value='W' >W</option></select></div></li><li id="field_1_93" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_93' >70kV/12W Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_1_93' class='medium gfield_select' tabindex='141' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Mo' >Mo</option><option value='W' >W</option><option value='Other' >Other</option></select></div></li><li id="field_1_57" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_57' >Quantity<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_1_57' type='text' value='' class='medium' tabindex='142' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_136" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_136' >Window Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_136' id='input_1_136' class='medium gfield_select' tabindex='143' aria-required="true" aria-invalid="false" ><option value='Select Window Type*' >Select Window Type*</option><option value='AP (Light Element)' >AP (Light Element)</option><option value='Beryllium' >Beryllium</option><option value='ProLINE' >ProLINE</option></select></div></li><li id="field_1_151" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_151' >Support Structure<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_151' id='input_1_151' class='medium gfield_select' tabindex='144' aria-required="true" aria-invalid="false" ><option value='Select Support Structure' >Select Support Structure</option><option value='ProLINE 10 (no support structure)' >ProLINE 10 (no support structure)</option><option value='ProLINE 20 (mesh support structure)' >ProLINE 20 (mesh support structure)</option></select></div></li><li id="field_1_152" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><img src="https://moxtek.com/wp-content/uploads/ProLINE-Family.png"width="300"></li><li id="field_1_99" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_99' >Beryllium Thickness (µm)</label><div class='ginput_container ginput_container_select'><select name='input_99' id='input_1_99' class='large gfield_select' tabindex='145' aria-invalid="false" ><option value='Select Beryllium Thickness' >Select Beryllium Thickness</option><option value='8.0' >8.0</option><option value='12.0' >12.0</option><option value='25.0' >25.0</option><option value='Custom' >Custom</option></select></div></li><li id="field_1_63" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_63' >Custom Beryllium Thickness (µm)</label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_1_63' type='text' value='' class='medium' tabindex='146' aria-invalid="false" /> </div></li><li id="field_1_97" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_97' >Beryllium Diameter (mm)</label><div class='ginput_container ginput_container_select'><select name='input_97' id='input_1_97' class='medium gfield_select' tabindex='147' aria-invalid="false" ><option value='Select Beryllium Diameter' >Select Beryllium Diameter</option><option value='9.2' >9.2</option><option value='12.0' >12.0</option><option value='16.0' >16.0</option><option value='Custom' >Custom</option></select></div></li><li id="field_1_65" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_65' >Custom Beryllium Diameter (mm)</label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_1_65' type='text' value='' class='medium' tabindex='148' aria-invalid="false" /> </div></li><li id="field_1_100" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_100' >Window Attachment Options</label><div class='ginput_container ginput_container_select'><select name='input_100' id='input_1_100' class='large gfield_select' tabindex='149' aria-invalid="false" ><option value='Select Window Attachment Options' >Select Window Attachment Options</option><option value='No Attachment (U)' >No Attachment (U)</option><option value='Epoxied (Glue) (E)' >Epoxied (Glue) (E)</option><option value='Brazed (Metal Seal) (B)' >Brazed (Metal Seal) (B)</option></select></div></li><li id="field_1_95" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_95' >Beryllium Coating Options</label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_1_95' class='large gfield_select' tabindex='150' aria-invalid="false" ><option value='Select Beryllium Coating Options' >Select Beryllium Coating Options</option><option value='No Coating (BE)' >No Coating (BE)</option><option value='DuraBeryllium (DB)' >DuraBeryllium (DB)</option><option value='DuraBeryllium Plus (DP)' >DuraBeryllium Plus (DP)</option></select></div></li><li id="field_1_137" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_137' >Window Size (Active Area mm²)</label><div class='ginput_container ginput_container_select'><select name='input_137' id='input_1_137' class='medium gfield_select' tabindex='151' aria-invalid="false" ><option value='Select Window Size' >Select Window Size</option><option value='10' >10</option><option value='20' >20</option><option value='30' >30</option><option value='50' >50</option><option value='80' >80</option><option value='100' >100</option><option value='140' >140</option></select></div></li><li id="field_1_139" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_139' >Film Thickness (Angstroms)</label><div class='ginput_container ginput_container_select'><select name='input_139' id='input_1_139' class='medium gfield_select' tabindex='152' aria-invalid="false" ><option value='Select Film Thickness' >Select Film Thickness</option><option value='1500' >1500</option><option value='3000' >3000</option><option value='6000' >6000</option><option value='12000' >12000</option></select></div></li><li id="field_1_140" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_140' >Aluminum Thickness (Angstroms)</label><div class='ginput_container 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gfield_select' tabindex='156' aria-required="true" aria-invalid="false" ><option value='Select Type' >Select Type</option><option value='XPIN-XT' >XPIN-XT</option><option value='XPIN-BT' >XPIN-BT</option><option value='MXDPP-50 OEM Version' >MXDPP-50 OEM Version</option><option value='MXDPP-50 End User Ready Version' >MXDPP-50 End User Ready Version</option></select></div></li><li id="field_1_147" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><img src="https://moxtek.com/wp-content/uploads/xray-product/si-pin-x-ray-detectors/XPIN-BT-Detector.png" width="300"></li><li id="field_1_76" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_76' >Detector Active Area (mm²)</label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_1_76' class='medium gfield_select' tabindex='157' aria-invalid="false" ><option value='6' >6</option><option value='13' >13</option></select></div></li><li id="field_1_74" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_74' >Assembly Options</label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_1_74' class='medium gfield_select' tabindex='158' aria-invalid="false" ><option value='None' >None</option><option value='Angle Bracket' >Angle Bracket</option><option value='Heat Sink' >Heat Sink</option></select></div></li><li id="field_1_75" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_75' >Quantity<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_1_75' type='text' value='' class='medium' tabindex='159' aria-required="true" aria-invalid="false" /> </div></li></ul>
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<input type='button' id='gform_previous_button_1_45' class='gform_previous_button button' value='Previous' tabindex='160' onclick='jQuery("#gform_target_page_number_1").val("1"); jQuery("#gform_1").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("1"); jQuery("#gform_1").trigger("submit",[true]); } ' /> <input type='button' id='gform_next_button_1_45' class='gform_next_button button' value='Next' tabindex='161' onclick='jQuery("#gform_target_page_number_1").val("3"); jQuery("#gform_1").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("3"); jQuery("#gform_1").trigger("submit",[true]); } ' />
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<ul id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below'><li id="field_1_150" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><p>Step 3 of 3: Additional Information</p></li><li id="field_1_149" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ></li><li id="field_1_47" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_47' >When do you expect to place an order?</label><div class='ginput_container ginput_container_date'>
<input name='input_47' id='input_1_47' type='text' value='' class='datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='162' placeholder='mm/dd/yyyy' aria-describedby="input_1_47_date_format" aria-invalid="false" />
<span id='input_1_47_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span>
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<span id='input_1_51_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span>
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</div></li><li id="field_4_4" class="gfield half first gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_4_4' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_4_4' type='text' value='' class='medium' tabindex='203' aria-required="true" aria-invalid="false" /></div></li><li id="field_4_11" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_4_11' >Area of Interest<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_4_11' class='medium gfield_select' tabindex='204' aria-required="true" aria-invalid="false" ><option value='Select Area of Interest' >Select Area of Interest</option><option value='Optics' >Optics</option><option value='X-ray' >X-ray</option><option value='Core Technology' >Core Technology</option><option value='Partnership' >Partnership</option></select></div></li><li id="field_4_6" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_4_6' >Message<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_4_6' class='textarea medium' tabindex='205' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_4_7" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><p>For details about Moxtek employment opportunities, please visit the <a href="https://moxtek.applicantpro.com/jobs/">Careers</a> page</p></li><li id="field_4_8" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label screen-reader-text' for='input_4_8' ></label><div id='input_4_8' class='ginput_container ginput_recaptcha' data-sitekey='6LcNL8QaAAAAADXKiQjVtmPJV5aO-rRuCMyQ057d' data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'></div></li><li id="field_4_12" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_4_12' >Email</label><div class='ginput_container'><input name='input_12' id='input_4_12' type='text' value='' /></div><div class='gfield_description' id='gfield_description_4_12'>This field is for validation purposes and should be left unchanged.</div></li></ul></div>
<div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' value='Submit' tabindex='206' onclick='if(window["gf_submitting_4"]){return false;} window["gf_submitting_4"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_4"]){return false;} window["gf_submitting_4"]=true; jQuery("#gform_4").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=4&title=&description=&tabindex=0' />
<input type='hidden' class='gform_hidden' name='is_submit_4' value='1' />
<input type='hidden' class='gform_hidden' name='gform_submit' value='4' />
<input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
<input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsIjI4ZTM1OWM3OWE4MzlkOWU1NDgxOGZmMzMxMWYxYTlhIl0=' />
<input type='hidden' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' />
<input type='hidden' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' />
<input type='hidden' name='gform_field_values' value='' />
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</form>
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<iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_4' id='gform_ajax_frame_4' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe>
<script type="text/javascript">
gform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https://moxtek.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_4').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_4').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_4').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_4').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_4').val();gformInitSpinner( 4, 'https://moxtek.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [4, current_page]);window['gf_submitting_4'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_4').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_4').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [4]);window['gf_submitting_4'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_4').text());}, 50);}else{jQuery('#gform_4').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [4, current_page]);} );} );
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<div id="request-a-quote" class="uk-flex-top" uk-modal>
<div class="uk-modal-dialog uk-modal-body uk-margin-auto-vertical">
<button class="uk-modal-close-default" type="button" uk-close></button>
<div class="uk-modal-body" uk-overflow-auto>
<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_1' id='gform_1' action='/optics-product/pixelated-polarizer/#gf_1' >
<div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper'>
<h3 class="gf_progressbar_title">Step <span class='gf_step_current_page'>1</span> of <span class='gf_step_page_count'>3</span>
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<div class='gform_body gform-body'><div id='gform_page_1_1' class='gform_page' >
<div class='gform_page_fields'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id="field_1_40" class="gfield gfield_html gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><p>Step 1 of 3: Contact Information</p></li><li id="field_1_4" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_4' >Date Product Needed</label><div class='ginput_container ginput_container_date'>
<input name='input_4' id='input_1_4' type='text' value='' class='datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='100' placeholder='mm/dd/yyyy' aria-describedby="input_1_4_date_format" aria-invalid="false" />
<span id='input_1_4_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span>
</div>
<input type='hidden' id='gforms_calendar_icon_input_1_4' class='gform_hidden' value='/wp-content/themes/moxtek/images/icon-date-picker.png'/></li><li id="field_1_5" class="gfield gplaceholder half first gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_5' >Company<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='large' tabindex='101' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_123" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_123' >First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_1_123' type='text' value='' class='large' tabindex='102' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_119" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_119' >Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_1_119' type='text' value='' class='large' tabindex='103' placeholder='Last Name' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_88" class="gfield gplaceholder half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_88' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_88' id='input_1_88' type='text' value='' class='large' tabindex='104' aria-required="true" aria-invalid="false" /></div></li><li id="field_1_81" class="gfield gplaceholder half field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_81' >Street Address</label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_1_81' type='text' value='' class='large' tabindex='105' aria-invalid="false" /> </div></li><li id="field_1_86" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_86' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_86' id='input_1_86' type='text' value='' class='large' tabindex='106' aria-required="true" aria-invalid="false" />
</div></li><li id="field_1_8" class="gfield gplaceholder split field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_8' >State / Province / Region</label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='large' tabindex='107' aria-invalid="false" /> </div></li><li id="field_1_109" class="gfield gplaceholder split-2 field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_109' >City</label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_1_109' type='text' value='' class='large' tabindex='108' aria-invalid="false" /> </div></li><li id="field_1_9" class="gfield gplaceholder half dropdown last gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_9' >Country<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_1_9' class='large gfield_select' tabindex='109' aria-required="true" aria-invalid="false" ><option value='' >Country *</option><option value='United States' >United States</option><option value='United Kingdom' >United Kingdom</option><option value='China' >China</option><option value='Germany' >Germany</option><option value='Japan' >Japan</option><option value='Russia' >Russia</option><option value='' ></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Brazil' >Brazil</option><option value='Brunei' >Brunei</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Congo, Republic of the' >Congo, Republic of the</option><option value='Costa Rica' >Costa Rica</option><option value='Côte d'Ivoire' >Côte d'Ivoire</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Cyprus' >Cyprus</option><option value='Czech Republic' >Czech Republic</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='East Timor' >East Timor</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Ethiopia' >Ethiopia</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='North Korea' >North Korea</option><option value='South Korea' >South Korea</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Laos' >Laos</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macedonia' >Macedonia</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Norway' >Norway</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine' >Palestine</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russia' >Russia</option><option value='Rwanda' >Rwanda</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia and Montenegro' >Serbia and Montenegro</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Sudan, South' >Sudan, South</option><option value='Suriname' >Suriname</option><option value='Swaziland' >Swaziland</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Togo' >Togo</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Vatican City' >Vatican City</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select></div></li><li id="field_1_41" class="gfield gplaceholder half first gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_41' >Postal Code<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_1_41' type='text' value='' class='large' tabindex='110' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_55" class="gfield gplaceholder half dropdown last gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_55' >Product Group<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_1_55' class='medium gfield_select' tabindex='111' aria-required="true" aria-invalid="false" ><option value='' >Select a Product</option><option value='Optics Products' >Optics Products</option><option value='X-ray Sources' >X-ray Sources</option><option value='X-ray Windows' >X-ray Windows</option><option value='X-ray Detectors' >X-ray Detectors</option></select></div></li><li id="field_1_83" class="gfield gplaceholder half dropdown first field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_83' >Referred By</label><div class='ginput_container ginput_container_select'><select name='input_83' id='input_1_83' class='medium gfield_select' tabindex='112' aria-invalid="false" ><option value='' >Referred By</option><option value='Tradeshow' >Tradeshow</option><option value='Word of Mouth' >Word of Mouth</option><option value='Magazine Ads' >Magazine Ads</option><option value='Conference' >Conference</option><option value='Web search' >Web search</option><option value='Other' >Other</option></select></div></li><li id="field_1_84" class="gfield gplaceholder half dropdown first field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_84' >Other</label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_1_84' type='text' value='' class='medium' tabindex='113' aria-invalid="false" /> </div></li><li id="field_1_117" class="gfield nofloat field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_117' >Attach Document</label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' /><input name='input_117' id='input_1_117' type='file' class='medium' aria-describedby="gfield_upload_rules_1_117" onchange='javascript:gformValidateFileSize( this, 10485760 );' tabindex='114' /><span class='gform_fileupload_rules' id='gfield_upload_rules_1_117'>Accepted file types: pdf, doc, docx, xls, xlsx, jpg, jpeg, png, gif, tiff, dwg, Max. file size: 10 MB.</span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_1_117'></div></div></li></ul>
</div>
<div class='gform_page_footer top_label'>
<input type='button' id='gform_next_button_1_43' class='gform_next_button button' value='Next' tabindex='115' onclick='jQuery("#gform_target_page_number_1").val("2"); jQuery("#gform_1").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("2"); jQuery("#gform_1").trigger("submit",[true]); } ' />
</div>
</div>
<div id='gform_page_1_2' class='gform_page' style='display:none;'>
<div class='gform_page_fields'>
<ul id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below'><li id="field_1_44" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><p>Step 2 of 3: Product Selection</p></li><li id="field_1_14" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_14' >Product Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_1_14' class='large gfield_select' tabindex='116' aria-required="true" aria-invalid="false" ><option value='' >Select Option</option><option value='FBF04C High Contrast' >FBF04C High Contrast</option><option value='PPL04 High Contrast' >PPL04 High Contrast</option><option value='PPL05 Very High Transmission' >PPL05 Very High Transmission</option><option value='PBFF2A Standard' >PBFF2A Standard</option><option value='PBS02 Polarizing Beamsplitter' >PBS02 Polarizing Beamsplitter</option><option value='PBF02 Optically Flat PBS' >PBF02 Optically Flat PBS</option><option value='BIR04 IR High Contrast' >BIR04 IR High Contrast</option><option value='BIR05 Very High Transmission' >BIR05 Very High Transmission</option><option value='RCV6LCET High Transmission with protective Overcoat™' >RCV6LCET High Transmission with protective Overcoat™</option><option value='RCV6N2EC Ultra High Transmission' >RCV6N2EC Ultra High Transmission</option><option value='RCV8LCET High Contrast with protective Overcoat™' >RCV8LCET High Contrast with protective Overcoat™</option><option value='RCV8N2EC Balanced Transmission/Contrast' >RCV8N2EC Balanced Transmission/Contrast</option><option value='UBB01 Utlra Broadband' >UBB01 Utlra Broadband</option><option value='UCMNATC0 Narrow Band, Narrow AOI' >UCMNATC0 Narrow Band, Narrow AOI</option><option value='UVD240A High Contrast' >UVD240A High Contrast</option><option value='UVD260A High Contrast' >UVD260A High Contrast</option><option value='UVT240A High Transmission' >UVT240A High Transmission</option><option value='UVT260A High Transmission' >UVT260A High Transmission</option><option value='UVT300A High Transmission' >UVT300A High Transmission</option><option value='UVX240A, UVT240A + Coating' >UVX240A, UVT240A + Coating</option><option value='Absorptive Blue Transmission' >Absorptive Blue Transmission</option><option value='Absorptive Blue Contrast' >Absorptive Blue Contrast</option><option value='Absorptive Green Transmission' >Absorptive Green Transmission</option><option value='Absorptive Green Matched' >Absorptive Green Matched</option><option value='Absorptive Green Contrast' >Absorptive Green Contrast</option><option value='Absorptive Red Matched' >Absorptive Red Matched</option><option value='PFU04 Ultra High Contrast' >PFU04 Ultra High Contrast</option><option value='SIR 3-5 Broadband' >SIR 3-5 Broadband</option><option value='SIR 8-12 Broadband' >SIR 8-12 Broadband</option><option value='Pixelation' >Pixelation</option><option value='Standard Sample' >Standard Sample</option><option value='Custom Sample' >Custom Sample</option><option value='Sample Kit' >Sample Kit</option></select></div></li><li id="field_1_22" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_22' >Specific Wavelength Range (nm)</label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_1_22' type='text' value='' class='large' tabindex='117' aria-invalid="false" /> </div></li><li id="field_1_134" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_134' >Is Tp or Contrast Ratio more important?</label><div class='ginput_container ginput_container_select'><select name='input_134' id='input_1_134' class='large gfield_select' tabindex='118' aria-invalid="false" ><option value='Select Option' >Select Option</option><option value='Tp' >Tp</option><option value='Contrast' >Contrast</option></select></div></li><li id="field_1_15" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_15' >Product Shape<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_1_15' class='large gfield_select' tabindex='119' aria-required="true" aria-invalid="false" ><option value='' selected='selected'>Select Option</option><option value='Circle' >Circle</option><option value='Rectangle' >Rectangle</option><option value='Square' >Square</option><option value='Other' >Other</option></select></div></li><li id="field_1_13" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_13' >Dimension (X) in mm<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_1_13' type='text' value='' class='large' tabindex='120' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_16" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_16' >Dimension (Y) in mm<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_1_16' type='text' value='' class='large' tabindex='121' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_18" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_18' >X Dimensional Tolerance in mm: +/- 0.</label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_1_18' type='text' value='' class='large' tabindex='122' aria-invalid="false" /> </div></li><li id="field_1_19" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_19' >Y Dimensional Tolerance in mm: +/- 0.</label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_1_19' type='text' value='' class='large' tabindex='123' aria-invalid="false" /> </div></li><li id="field_1_20" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_20' >Transmission Axis (long side, degrees)</label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_1_20' type='text' value='' class='large' tabindex='124' aria-invalid="false" /> </div></li><li id="field_1_87" class="gfield gplaceholder gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_87' >Quantity<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_number'><input name='input_87' id='input_1_87' type='text' value='' class='medium' tabindex='125' aria-required="true" aria-invalid="false" /></div></li><li id="field_1_21" class="gfield gplaceholder attachment gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_21' >Visual Criteria<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_1_21' class='large gfield_select' tabindex='126' aria-required="true" aria-invalid="false" ><option value='' selected='selected'>Select Option</option><option value='VC0' >VC0</option><option value='VC1' >VC1</option><option value='VC2' >VC2</option><option value='VC4' >VC4</option><option value='VCIR' >VCIR</option><option value='Other' >Other</option></select></div></li><li id="field_1_23" class="gfield gplaceholder field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_23' >Edge Exclusion (mm)</label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_1_23' type='text' value='' class='large' tabindex='127' aria-invalid="false" /> </div></li><li id="field_1_131" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_131' >Additional Options</label><div class='ginput_container ginput_container_select'><select name='input_131' id='input_1_131' class='medium gfield_select' tabindex='128' aria-invalid="false" ><option value='Select Option' >Select Option</option><option value='Marking' >Marking</option><option value='Chamfer' >Chamfer</option><option value='Mounted Assembly' >Mounted Assembly</option><option value='Cover Glass' >Cover Glass</option><option value='Expedite (20% Fee)' >Expedite (20% Fee)</option></select></div></li><li id="field_1_135" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_135' >Product Requirements</label><div class='ginput_container ginput_container_select'><select name='input_135' id='input_1_135' class='large gfield_select' tabindex='129' aria-invalid="false" ><option value='Select Option' >Select Option</option><option value='ITAR Compliant' >ITAR Compliant</option><option value='Certificate of Conformance' >Certificate of Conformance</option><option value='Measurement Data' >Measurement Data</option><option value='First Article Inspection Report' >First Article Inspection Report</option><option value='Other' >Other</option></select></div></li><li id="field_1_148" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_148' >Other</label><div class='ginput_container ginput_container_text'><input name='input_148' id='input_1_148' type='text' value='' class='medium' tabindex='130' aria-invalid="false" /> </div></li><li id="field_1_80" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_80' >X-ray Subject<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_1_80' class='medium gfield_select' tabindex='131' aria-required="true" aria-invalid="false" ><option value='40kv Magnum' >40kv Magnum</option><option value='50kv Magnum' >50kv Magnum</option><option value='FTC-200 Controller' >FTC-200 Controller</option><option value='XPIN-XT Detector' >XPIN-XT Detector</option><option value='XPIN-BT Detector' >XPIN-BT Detector</option><option value='Sealed Proprotional Counter' >Sealed Proprotional Counter</option><option value='MP103 Preamplifier' >MP103 Preamplifier</option><option value='AP3 Window' >AP3 Window</option><option value='AP5 Window' >AP5 Window</option><option value='ProLINE10 Windows' >ProLINE10 Windows</option><option value='ProLINE20 Windows' >ProLINE20 Windows</option><option value='Other' >Other</option></select></div></li><li id="field_1_79" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_79' >Other</label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_1_79' type='text' value='' class='medium' tabindex='132' aria-invalid="false" /> </div></li><li id="field_1_141" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_141' >X-ray Application</label><div class='ginput_container ginput_container_select'><select name='input_141' id='input_1_141' class='medium gfield_select' tabindex='133' aria-invalid="false" ><option value='Select Application' >Select Application</option><option value='XRF' >XRF</option><option value='XRD' >XRD</option><option value='Imaging' >Imaging</option><option value='Other' >Other</option></select></div></li><li id="field_1_58" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_58' >X-ray Sources</label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_1_58' class='medium gfield_select' tabindex='134' aria-invalid="false" ><option value='Select Type' >Select Type</option><option value='40kV/4W Cabled Transmission' >40kV/4W Cabled Transmission</option><option value='40kV/4W Cabled Reflection' >40kV/4W Cabled Reflection</option><option value='50kV/4W Transmission' >50kV/4W Transmission</option><option value='50kV/10W Cabled Transmission' >50kV/10W Cabled Transmission</option><option value='60kV/12W Transmission' >60kV/12W Transmission</option><option value='70kV/12W Transmission' >70kV/12W Transmission</option><option value='40kV FTC-200 Controller' >40kV FTC-200 Controller</option><option value='50kV FTC-200 Controller' >50kV FTC-200 Controller</option><option value='Other' >Other</option></select></div></li><li id="field_1_144" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><img src="https://moxtek.com/wp-content/uploads/x-ray-products/x-ray-sources/end-window-monoblock.jpg" width="500" height="600"></li><li id="field_1_142" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_142' >Specify Product<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_142' id='input_1_142' type='text' value='' class='medium' tabindex='135' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_92" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_92' >40kV/4W Cabled Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_92' id='input_1_92' class='medium gfield_select' tabindex='136' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Ag' >Ag</option><option value='Pd' >Pd</option><option value='Rh' >Rh</option><option value='W' >W</option></select></div></li><li id="field_1_145" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_145' >40kV/4W Cabled Reflection Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_145' id='input_1_145' class='medium gfield_select' tabindex='137' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Cr' >Cr</option><option value='Cu' >Cu</option><option value='Mo' >Mo</option><option value='W' >W</option></select></div></li><li id="field_1_96" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_96' >50kV/10W Cabled Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_96' id='input_1_96' class='medium gfield_select' tabindex='138' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Ag' >Ag</option><option value='Au' >Au</option><option value='Mo' >Mo</option><option value='Pd' >Pd</option><option value='Rh' >Rh</option><option value='W' >W</option></select></div></li><li id="field_1_94" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_94' >50kV/4W Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_94' id='input_1_94' class='medium gfield_select' tabindex='139' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Ag' >Ag</option><option value='Au' >Au</option><option value='Cr' >Cr</option><option value='Mo' >Mo</option><option value='Pd' >Pd</option><option value='Rh' >Rh</option><option value='W' >W</option></select></div></li><li id="field_1_90" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_90' >60kV/12W Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_90' id='input_1_90' class='medium gfield_select' tabindex='140' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Ag' >Ag</option><option value='Cr' >Cr</option><option value='Cu' >Cu</option><option value='Mo' >Mo</option><option value='Rh' >Rh</option><option value='W' >W</option></select></div></li><li id="field_1_93" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_93' >70kV/12W Transmission Target<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_1_93' class='medium gfield_select' tabindex='141' aria-required="true" aria-invalid="false" ><option value='Select Target' >Select Target</option><option value='Mo' >Mo</option><option value='W' >W</option><option value='Other' >Other</option></select></div></li><li id="field_1_57" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_57' >Quantity<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_1_57' type='text' value='' class='medium' tabindex='142' aria-required="true" aria-invalid="false" /> </div></li><li id="field_1_136" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_136' >Window Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_136' id='input_1_136' class='medium gfield_select' tabindex='143' aria-required="true" aria-invalid="false" ><option value='Select Window Type*' >Select Window Type*</option><option value='AP (Light Element)' >AP (Light Element)</option><option value='Beryllium' >Beryllium</option><option value='ProLINE' >ProLINE</option></select></div></li><li id="field_1_151" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_151' >Support Structure<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_151' id='input_1_151' class='medium gfield_select' tabindex='144' aria-required="true" aria-invalid="false" ><option value='Select Support Structure' >Select Support Structure</option><option value='ProLINE 10 (no support structure)' >ProLINE 10 (no support structure)</option><option value='ProLINE 20 (mesh support structure)' >ProLINE 20 (mesh support structure)</option></select></div></li><li id="field_1_152" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><img src="https://moxtek.com/wp-content/uploads/ProLINE-Family.png"width="300"></li><li id="field_1_99" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_99' >Beryllium Thickness (µm)</label><div class='ginput_container ginput_container_select'><select name='input_99' id='input_1_99' class='large gfield_select' tabindex='145' aria-invalid="false" ><option value='Select Beryllium Thickness' >Select Beryllium Thickness</option><option value='8.0' >8.0</option><option value='12.0' >12.0</option><option value='25.0' >25.0</option><option value='Custom' >Custom</option></select></div></li><li id="field_1_63" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_63' >Custom Beryllium Thickness (µm)</label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_1_63' type='text' value='' class='medium' tabindex='146' aria-invalid="false" /> </div></li><li id="field_1_97" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_97' >Beryllium Diameter (mm)</label><div class='ginput_container ginput_container_select'><select name='input_97' id='input_1_97' class='medium gfield_select' tabindex='147' aria-invalid="false" ><option value='Select Beryllium Diameter' >Select Beryllium Diameter</option><option value='9.2' >9.2</option><option value='12.0' >12.0</option><option value='16.0' >16.0</option><option value='Custom' >Custom</option></select></div></li><li id="field_1_65" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_65' >Custom Beryllium Diameter (mm)</label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_1_65' type='text' value='' class='medium' tabindex='148' aria-invalid="false" /> </div></li><li id="field_1_100" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_100' >Window Attachment Options</label><div class='ginput_container ginput_container_select'><select name='input_100' id='input_1_100' class='large gfield_select' tabindex='149' aria-invalid="false" ><option value='Select Window Attachment Options' >Select Window Attachment Options</option><option value='No Attachment (U)' >No Attachment (U)</option><option value='Epoxied (Glue) (E)' >Epoxied (Glue) (E)</option><option value='Brazed (Metal Seal) (B)' >Brazed (Metal Seal) (B)</option></select></div></li><li id="field_1_95" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_95' >Beryllium Coating Options</label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_1_95' class='large gfield_select' tabindex='150' aria-invalid="false" ><option value='Select Beryllium Coating Options' >Select Beryllium Coating Options</option><option value='No Coating (BE)' >No Coating (BE)</option><option value='DuraBeryllium (DB)' >DuraBeryllium (DB)</option><option value='DuraBeryllium Plus (DP)' >DuraBeryllium Plus (DP)</option></select></div></li><li id="field_1_137" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_137' >Window Size (Active Area mm²)</label><div class='ginput_container ginput_container_select'><select name='input_137' id='input_1_137' class='medium gfield_select' tabindex='151' aria-invalid="false" ><option value='Select Window Size' >Select Window Size</option><option value='10' >10</option><option value='20' >20</option><option value='30' >30</option><option value='50' >50</option><option value='80' >80</option><option value='100' >100</option><option value='140' >140</option></select></div></li><li id="field_1_139" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_139' >Film Thickness (Angstroms)</label><div class='ginput_container ginput_container_select'><select name='input_139' id='input_1_139' class='medium gfield_select' tabindex='152' aria-invalid="false" ><option value='Select Film Thickness' >Select Film Thickness</option><option value='1500' >1500</option><option value='3000' >3000</option><option value='6000' >6000</option><option value='12000' >12000</option></select></div></li><li id="field_1_140" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_140' >Aluminum Thickness (Angstroms)</label><div class='ginput_container 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gfield_select' tabindex='156' aria-required="true" aria-invalid="false" ><option value='Select Type' >Select Type</option><option value='XPIN-XT' >XPIN-XT</option><option value='XPIN-BT' >XPIN-BT</option><option value='MXDPP-50 OEM Version' >MXDPP-50 OEM Version</option><option value='MXDPP-50 End User Ready Version' >MXDPP-50 End User Ready Version</option></select></div></li><li id="field_1_147" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><img src="https://moxtek.com/wp-content/uploads/xray-product/si-pin-x-ray-detectors/XPIN-BT-Detector.png" width="300"></li><li id="field_1_76" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_76' >Detector Active Area (mm²)</label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_1_76' class='medium gfield_select' tabindex='157' aria-invalid="false" ><option value='6' >6</option><option value='13' >13</option></select></div></li><li id="field_1_74" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_74' >Assembly Options</label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_1_74' class='medium gfield_select' tabindex='158' aria-invalid="false" ><option value='None' >None</option><option value='Angle Bracket' >Angle Bracket</option><option value='Heat Sink' >Heat Sink</option></select></div></li><li id="field_1_75" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_75' >Quantity<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_1_75' type='text' value='' class='medium' tabindex='159' aria-required="true" aria-invalid="false" /> </div></li></ul>
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<input type='button' id='gform_previous_button_1_45' class='gform_previous_button button' value='Previous' tabindex='160' onclick='jQuery("#gform_target_page_number_1").val("1"); jQuery("#gform_1").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("1"); jQuery("#gform_1").trigger("submit",[true]); } ' /> <input type='button' id='gform_next_button_1_45' class='gform_next_button button' value='Next' tabindex='161' onclick='jQuery("#gform_target_page_number_1").val("3"); jQuery("#gform_1").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_1").val("3"); jQuery("#gform_1").trigger("submit",[true]); } ' />
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<ul id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below'><li id="field_1_150" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><p>Step 3 of 3: Additional Information</p></li><li id="field_1_149" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ></li><li id="field_1_47" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_47' >When do you expect to place an order?</label><div class='ginput_container ginput_container_date'>
<input name='input_47' id='input_1_47' type='text' value='' class='datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='162' placeholder='mm/dd/yyyy' aria-describedby="input_1_47_date_format" aria-invalid="false" />
<span id='input_1_47_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span>
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<span id='input_1_51_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span>
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<p class="image-caption" id="caption1">SEM image of a pixelated polarizer with typical 4-state array <br /><a href="https://compare.moxtek.com/iframe">Polarizer Comparison Tool</a>
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<div class="content"><h1 style="text-align: center;">Pixelated Wire-Grid Polarizers</h1>
<p class="text">Moxtek has created unique Pixelated Polarizers using an array of micro-pattered Nanowire<sup>®</sup> grids.
<span id="more-1427"></span> These versatile Pixelated Polarizers can be aligned with cameras, plane arrays, interferometers, and microbolometers without the need for mechanical polarizer switches. Using our Pixelated Polarizers, vibrant images distinguishing between multiple polarizations across the visible and IR wavelengths can be captured simultaneously in real-time enabling fast, high resolution images.  These polarizers also enable clear 2D and 3D images even in low-light conditions. We offer patterned polarizers for two, three and four-state imaging devices.</p></div>
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